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* Department of Medicine, Division of Nephrology and General Medicine, University of Freiburg, Freiburg, Germany; and
Division of Experimental Nephrology, Medical Clinic and Polyclinic, University Clinic of Muenster, Muenster, Germany
| Abstract |
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leads via a Ca2+-dependent mechanism to an
up-regulation of early growth response gene (EGR)-1. Overexpression of
EGR-1 induces down-regulation of copper-zinc superoxide dismutase and
manganese superoxide dismutase and stimulates the generation of
reactive oxygen species (ROS) via the NADH/NADPH-oxidase system. EGR-1
overexpression or treatment with monokine induced by IFN-
resulted
in a ROS-dependent inhibition of basolateral
Na+/K+-ATPase activity, compromising sodium
transport in these cells. Thus, activation of the CXCR3 receptor in
proximal tubular cells might disturb natriuresis during inflammatory
and ischemic kidney disease via EGR-1-mediated imbalance of
ROS. | Introduction |
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Proximal tubular cells play a crucial role in several forms of renal
injury such as acute kidney failure following ischemia, chronic
allograft rejection, and chronic renal failure (13).
Especially, tubulointerstitial disease is an important participant in
the progression of chronic renal failure (14). After
injury of proximal tubular cells various mediator systems can be
activated leading to the enhanced local production of complement,
chemokines, and matrix components and to the amplification of injury by
the invasion of proinflammatory cells (13). As a
result, tubular transport is disturbed (15) and
overproduction of matrix leading to fibrosis occurs (14).
There is a good body of evidence that chemokines and their ligands are
involved in tubular injury during inflammation. For example, the CXCR3
ligand IFN-
-inducible protein-10
(IP-10),3 is
up-regulated in animal models of interstitial nephritis
(16). In adriamycin nephropathy, high levels of glomerular
IP-10 mRNA expression and glomerular and tubulointerstitial IP-10
protein expression are associated with proteinuria and interstitial
cellular infiltrates. IP-10 mRNA expression has been detected in renal
interstitial fibroblasts and tubular epithelial cells
(17). Not only up-regulation of IP-10, but also increased
expression of the CXCR3 receptor itself has been reported in a variety
of inflammatory diseases (7) and in clinical states
associated with ischemia (8, 9). The intracellular signal
transduction of the CXCR3 receptor is widely unknown, but angiostatic
properties (18, 19), antitumor effects (20, 21), induction of tissue necrosis (22), and
chemoattractive properties (23) have all been linked to
the CXCR3 receptor. Because CXCR3 receptor and its ligands seem to play
an important role in tubulointerstitial inflammation, we investigated
the expression and function of the CXCR3 receptor in an immortalized
proximal tubular cell line.
| Materials and Methods |
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Recombinant human monokine induced by IFN-
(MIG) was obtained
from R&D Systems (Wiesbaden, Germany); ouabain, 1,3-dimethyl-2-thiourea
(DMTU), catalase, superoxide dismutase (SOD), p-nitrophenyl
phosphate, pyrrolidinedithiocarbamate (PDTC), xanthine, and xanthine
oxidase were all obtained from Sigma-Aldrich (Deisenhofen,
Germany).
Cell culture
Immortalized human proximal tubule cells (IHKE-1) were cultured as recently reported (24). Briefly, cells were maintained in Hams F12/DMEM medium containing L-glutamine (Life Technologies, Eggenstein, Germany) supplemented with 1% FCS (Roche Diagnostic Systems, Basel, Switzerland), 50 µg/ml ciprobay (Bayer, Leverkusen, Germany), 10 µg/L epidermal growth factor (Calbiochem, La Jolla, CA), 36 µg/L hydrocortisone (Sigma-Aldrich), 1.5 g/L NaHCO3 (Biochrom, Berlin, Germany), 100 mM sodium-pyruvate (Biochrom), 250 mg/L insulin-transferrin-sodium selenit supplement (Roche Diagnostics). The medium used for transfected cell lines contained 300 µg/ml geniticin for selection purposes. Cells were switched to fresh media 24 h before the experiments and then exposed to various treatments.
Gene expression array
Differential gene expression was tested using the Atlas cDNA Expression Array kit (Clontech Laboratories, Heidelberg, Germany): 5 µg of RNA was mixed with 1 µl of 10x primer mix and incubated at 70°C for 2 min followed by another 2 min at 50°C. Master mix (8 µl), containing 2 µl of 5x reaction buffer (250 mM Tris-HCl, pH 8.3, 375 mM KCl, 15 mM MgCl2), 1 µl of 10x dNTP mix for dATP labeling (5 mM each dCTP, dGTP, dTTP), 3.5 µl of [32P]dATP (10 µCi/µl; Amersham Pharmacia Biotech, Freiburg, Germany), 0.5 µl of 100 mM DTT, and 1 µl of Moloney murine leukemia virus reverse transcriptase (50 U/µl) was added to the RNA and primer mix. Samples for reverse transcription were incubated for 30 min at 50°C. The reaction was stopped with 1 µl of 10x termination mix (0.1 M EDTA, pH 8.0; 1 mg/ml glycogen). Labeled cDNA was purified on Chroma Spin-200 DEPC-H2O columns (all obtained from Clontech Laboratories). Hybridization was performed according to the manufacturers manual. In brief, microarray membranes were placed into roller bottles, washed with deionized H2O, and prehybridized with 500 µg of sheared salmon testes DNA in ExpressHyb hybridization solution (Stratagene, Heidelberg, Germany) at 68°C for 30 min. Labeled cDNA probes (210 x 106 cpm) were mixed with 10x denaturing solution (1 M NaOH; 10 mM EDTA) and incubated at 68°C for 20 min. Cot-1 DNA and 2x neutralizing solution (1 M NaH2PO4, pH 7.0) was added to the cDNA probes, incubated for 10 min at 68°C, and transferred together with hybridization solution to the membranes. Membranes were hybridized overnight at 68°C, washed with prewarmed washing solutions, and wrapped in plastic wrap. Membranes were exposed to x-ray film (Biomax MS; Kodak, München, Germany) at -80°C using intensifying screens. For best evaluation, films were exposed for varying lengths of time (from 12 h to 7 days).
Polymerase chain reaction
Isolation of human nephron segments was performed from unaltered cortices of patients (with their consent) undergoing tumor nephrectomy (25, 26). Proximal tubules of a total length of 200 µm or IHKE-1 cells were lysed in a 4 M guanidinium chloride buffer and total RNA was isolated and incubated with 10 U DNase I (Promega, Heidelberg, Germany) at 37°C for 60 min to digest traces of genomic DNA. RNA and DNase I were then separated by an additional cleaning step using a new RNeasy column. cDNA first-strand synthesis was performed in a total reaction volume of 30 µl containing 605000 ng of total RNA, 10 mM dNTP mix, 1 nM p(dT)10 nucleotide primer (Roche Diagnostic Systems), and 200 U Moloney murine leukemia virus reverse transcriptase (Promega). One-fifth to one-thirtieth of each cDNA first-strand reaction mixture was then subjected to a 50-µl PCR using 2025 pmol of each primer and 1 U Taq DNA polymerase (Qiagen, Hilden, Germany). Reaction conditions were as follows: CXCR3 primer, 5'-CCACCCACTGCCAATACAAC-3' and 5'-CGGAACTTGACCCCTACAAA-3', size: 379 bp, denaturing 94°C/30 s, annealing 50°C/2 min, elongation 72°C/1 min for 32 cycles; GAPDH, 5'-GGTGAAGGTCGGAGTCAACG-3' and 5'-CAAAGTTGTCATGGATGACC-3', size: 496 bp, annealing 60°C/2 min, elongation 72°C/1 min for 24 cycles. PCR products were analyzed by agarose gel electrophoresis. Positive signals obtained from PCR experiments were either directly sequenced or subjected to restriction enzyme digestion. GAPDH expression was used as a positive control for nonquantitative PCR.
RNA isolation and Northern analysis
To confirm results of gene-expression arrays with MIG-stimulated
and control cells, 10 µg of total RNA was isolated and subjected to
Northern analysis. Amplification products from the PCR were labeled
with [
-32P]ATP and used as a probe for
Northern analysis as described recently (27).
Hybridization with a probe for the housekeeping gene GAPDH was used as
internal control. Autoradiography signals were analyzed by scanning and
volume integration.
Cloning of human early growth response gene (EGR)-1
Human EGR-1 was cloned using a cDNA template generously provided by Dr. T. McCaffrey (Cornell University, New York, NY). In brief, 5' primers containing a XhoI site and a Kozak sequence and 3' primers containing an EcoRI site were used to amplify the complete coding sequence of human EGR-1. The PCR product was fully sequenced and cloned into the expression vector pIRES2-EGFP (Clontech) at the XhoI/EcoRI site. After transfection of IHKE-1 cells (Superfect; Qiagen) with vector and vector containing the cDNA for EGR-1, selection was performed with medium containing 300 µg/ml geniticin (Calbiochem). Clones were screened for green fluorescent protein expression using fluorescence microscopy. Fluorescent cells stably overexpressing EGR-1 were selected and expression levels for EGR-1 were analyzed using Western blot techniques. Two clones for each cell type (EGR-1 overexpressing and control cells) were tested in additional experiments.
Antisense experiments
Antisense experiments were performed using morpholino antisense oligonucleotides. The following oligonucleotides were used: EGR-1 antisense oligonucleotide, 5'-ACGAGCAGGCTGGAGAGCTGGTGTC-3'; control oligonucleotide (inverted antisense sequence), 5'-CTGTGGTCGAGAGGTCGGACGAGCA-3' (Gene Tools, Pilomath, OR). IHKE-1 cells were grown in six-well plates to 100% confluency. Antisense/control oligonucleotide (16.8 µl, 300 nmol), 566.4 µl of sterile water, and 16.8 µl of ethoxylated-polyethylenimine (200 µM) were mixed and incubated for 20 min at room temperature. After addition of 5.6 ml of serum-free cell medium to the antisense/ethoxylated-polyethylenimine mixture, cells were incubated for 3 h with the antisense oligonucleotide complex. The antisense oligonucleotide complex was replaced by fresh serum-containing medium and the cells were incubated for 16 h under standard incubator conditions. Thereafter, cells were harvested for Western blot experiments and measurement of Na+/K+-ATPase activity.
Western blots
Western blotting was performed using standard techniques (28). In brief, cells were washed once with PBS, scraped with lysis buffer containing 2 mM EDTA, 2 mM EGTA, 100 mM NaCl, 20 mM Tris, 0.1% SDS, 1% Nonidet P-40, 2 mM PMSF, and a proteinase inhibitor mixture (Roche Diagnostics) and sonicated. The samples were resuspended in Laemmli sample buffer, boiled (5 min), and subjected to SDS-PAGE and transfer electrophoresis. The transblots were stained with Ponceau solution to prove equal amounts of protein were loaded on the membrane and probed with the following primary Abs: rabbit-anti-EGR-1, goat-anti-p47phox, goat-anti-p67phox, goat-anti-gp91phox (Santa Cruz Biotechnology, Santa Cruz, CA); rabbit anti-copper-zinc SOD (Cu/ZnSOD), rabbit anti-manganese SOD (MnSOD), rabbit anti-hemoxygenase (HO)-1 (StressGen Biotechnologies, Hamburg, Germany). The rabbit anti-p22phox Ab was a generous gift from Dr. M. Quinn (Department of Veterinary Molecular Biology, Montana State University, Bozeman, MT); the rabbit anti-human Nox4 Ab was a generous gift from Dr. D. Lambeth (Department of Pathology and Laboratory Medicine, Emory University Medical School, Atlanta, GA), followed by peroxidase-labeled secondary Abs (donkey anti-rabbit, rabbit anti-goat; Amersham Pharmacia, Piscataway, NJ), and detected by chemiluminescence detection reagents (ECL, Amersham Pharmacia).
Measurement of the free cytosolic calcium concentration ([Ca2+]i)
Measurement of [Ca2+]i was performed in single IHKE-1 cells with an inverted fluorescence microscope as recently described (29). In short, IHKE-1 cells were incubated with the Ca2+-sensitive dye fura-2/AM (5 mmol/L; Sigma-Aldrich) for 30 min at 37°C and mounted in a bath chamber on the stage of an inverted microscope. Perfusion was performed with a ringer-like solution containing (in millimoles per liter) NaCl 145, K2HPO4 1.6, KH2PO4 0.4, CaCl2 1.3, MgCl2 1.03, D-glucose 5, pH 7.4. Transmission maxima at 340, 360, and 380 nm were measured with a photomultiplier, digitized with 12-bit resolution, and recorded continuously on the hard disc of an AT computer. Calibration of the fura-2 fluorescence signal was performed using the Ca2+ ionophore ionomycin (5 mmol/L) and low and high Ca2+ buffers. To vary the free Ca2+ activity, the solutions were prepared with EGTA as a Ca2+ buffer. [Ca2+]i was calculated from the fluorescence ratio according to Grynkiewicz et al. (30).
NADPH-oxidase activity
Measurement of superoxide anion production was performed as described recently (31). In brief, cells were washed once with cold PBS and scraped with Krebs solution (pH 7.35) containing 99 mM NaCl, 4.7 mM KCl, 1.8 mM CaCl2, 1.2 mM MgCl2, 25 mM NaHCO3, 1.03 mM K2HPO4, 20 mM Na-HEPES, and 11.1 mM glucose, and centrifuged (200 x g, 4°C, 5 min). The supernatant was discarded and the pellet was resuspended in fresh Krebs buffer. Cell suspension (100 µl) was added to Krebs solution containing 5 µM lucigenin and stimulated with either 100 µM NADH or NADPH. Bioluminescence was measured with Lumat LB9501 (Berthold, Wildbad, Germany). To calculate the amount of superoxide produced, total counts were analyzed by integrating the area under the signal curve. These values were compared with a standard curve generated using xanthine/xanthine oxidase as described (32).
Na+/K+-ATPase activity
Na+/K+-ATPase activity was measured as the ouabain-sensitive dephosphorylation of Tris-p-nitrophenylphosphate by K+-p-nitrophenylphosphatase. This assay is relatively insensitive to the endogenous phosphate pool and metabolic competition for ATP (33).
Immunhistochemical analysis
Fixation and preparation of tissue for immunohistochemical analyses were performed using standard techniques. In brief, rat kidneys were perfused with 5 ml of cold (4°C) PBS followed by 5 ml of 4% paraformaldehyde. After removal, kidneys were incubated for 24 h at 4°C in 4% paraformaldehyde solution, embedded in paraffin, and cut into 5- to 7-µm thick slices. Slices were deparaffinized in xylol for 1 h, gradually hydrated through graded alcohols (100 to 70%), and washed in deionized water. After incubation in 1% H2O2 for 30 min, slices were rehydrated with PBS, and Ag unmasking was performed by incubation of the slices in 0.05% proteinase K solution for 10 min. Blocking was performed using a 1% BSA solution for 10 min. Thereafter, sections were incubated for 24 h, in a humidified chamber at 4°C, with Abs against the CXCR3 receptor (mouse anti-CXCR3; R&D Systems). The slices were washed extensively with PBS and incubated for 45 min with a secondary Ab using a commercially available ABC kit (Vectastain mouse peroxidase; Vector Laboratories, Burlingame, CA). Slices were washed with PBS, incubated with avidin-biotin for 45 min and stained with 3-amino-9 ethylcarbazole. Sections were examined with a conventional light microscope (Zeiss LSM 510; Oberkochen, Germany). Negative controls were performed by heat denaturation of the primary Ab.
Statistical analysis
Data were expressed as mean ± SEM and were analyzed by ANOVA for repeated measures when comparing within groups and one-way ANOVA when comparing among groups; Students t test was used for a two-group comparison, p < 0.05 was considered statistically significant.
| Results |
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Previous analysis of renal CXCR3 receptor expression showed high expression of the chemokine receptor CXCR3 only in states of inflammatory renal disease (10) or during human renal transplant rejection (12) but recent experiments have shown that the CXCR3 receptor can likewise be expressed in the unaltered kidney in vivo (34). To further evaluate the expression of the CXCR3 receptor in the healthy human kidney, RT-PCR experiments were performed using microdissected human proximal tubules from otherwise healthy subjects undergoing tumor nephrectomy and an immortalized human proximal tubule cell line (IHKE-1) known to express many characteristics of proximal tubules (35). Using primers specific for the human CXCR3 receptor, a 379-bp fragment of the receptor could be amplified both in microdissected human proximal tubules and in IHKE-1 cells (Fig. 1A). The presence of the CXCR3 receptor was confirmed through direct sequencing of the PCR products. To further characterize the localization of the CXCR3 receptor in the kidney, immunohistochemical stains were performed. The CXCR3 receptor was found on the apical side of proximal tubules (Fig. 1B).
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With the results shown in Fig. 1, we proceeded to evaluate the
functional role of the CXCR3 receptor in IHKE-1 cells. Stimulation of
IHKE-1 cells with MIG, a selective agonist for the CXCR3 receptor,
induced a reversible increase of
[Ca2+]i in IHKE-1 cells.
The MIG-induced increase of
[Ca2+]i consisted of an
initial peak followed by a plateau (MIG 10-11 M:
peak
[Ca2+]i: 172
± 15 nmol/L, plateau:
[Ca2+]i: 145 ±
17 nmol/L, n = 12). Reduction of the extracellular
Ca2+ from 2 x 10-3 M
to 10-6 M did not change the MIG-induced peak
(peak
[Ca2+]i:
170 ± 11 nmol/L, n = 12) but significantly
diminished the plateau (plateau:
[Ca2+]i: 86 ±
7.5 nmol/L, n = 12, p < 0.05, paired
Students t test), indicating that both intracellular
Ca2+ release from Ca2+
stores (peak) and a transmembranous Ca2+ influx
(plateau) are responsible for the MIG-induced
[Ca2+]i increase (Fig. 2A). The effect of MIG on
[Ca2+]i was
concentration-dependent with a half maximal concentration of 20 pM (MIG
vs [Ca2+]i increase:
10-13 M = 0 ± 0 nmol/L,
n = 15; 10-12 M = 24
± 8 nmol/L, n = 17; 10-11
M = 160 ± 17 nmol/L, n = 21;
10-10 M = 466 ± 107 nmol/L,
n = 8; 10-9 M = 473 ±
57 nmol/L, n = 7) (Fig. 2B).
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Little is known about genes regulated by the CXCR3 receptor. To
obtain more information about MIG-induced gene expression, we performed
cDNA gene expression arrays with IHKE-1 cells stimulated with MIG (0.5
nmol/L) or vehicle. Fig. 3A
shows part of a cDNA expression array with a strong up-regulation of
EGR-1 in MIG-stimulated IHKE-1 cells. To confirm these results, we
performed Northern blot and Western blot analyses of IHKE-1 cells
stimulated with MIG (0.5 nmol/L). Fig. 3 shows the time-dependent
increase in EGR-1 mRNA (Fig. 3B) (relative density; 1
h: control = 0.18 ± 0.03, MIG = 1.63 ± 0.38,
n = 3, *, p < 0.05, Students
t test; 4 h: control = 0.093 ± 0.049,
MIG = 0.16 ± 0.059, n = 3, p
> 0.05, t test) and protein expression (Fig. 3C)
(relative density; 1 h: control = 10960 ± 3107,
MIG = 104731 ± 2559, n = 3, *,
p < 0.05, Students t test; 4 h:
control = 12252 ± 3321, MIG = 43993 ± 3118,
n = 3, *, p < 0.05, Students
t test) in IHKE-1 cells stimulated with MIG. An
9.5-fold
increase in EGR-1 protein expression was found at 1 h with a
smaller, but still significant, increase at 4 h.
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Next we investigated whether an increase in
[Ca2+]i can lead to the
up-regulation of EGR-1. Stimulation with ionomycin
(10-8 M) induced an
50-fold reversible
increase of [Ca2+]i
(baseline: 9 ± 5 nmol/L, peak: 454 ± 57 nmol/L, baseline
post stimulation: 15 ± 4 nmol/L, n = 4,
p < 0.05 peak vs baselines, paired Students
t test). This increase was comparable to the increase in
[Ca2+]i induced by MIG
(Figs. 2B and 4B).
Western blot experiments showed the time-dependent up-regulation of
EGR-1 in IHKE-1 cells at 1 and 2 h, but not at 4 h after
stimulation with ionomycin (Fig. 4A). Because previous
experiments have shown that the CXCR3 receptor can induce chemotaxis in
eosinophils via a cAMP-dependent protein kinase A signaling pathway
(36), additional experiments with forskolin were
performed. In IHKE-1 cells, forskolin (10-5 M),
a substance known to activate adenylyl cylcase activity, did not
up-regulate EGR-1 (Fig. 4A).
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Previously, it was shown that expression of both the CXCR3 receptor and its agonist MIG is increased in brain tissue after ischemia (8). Generation of reactive oxygen species (ROS) during and after induction of ischemia is a well-known mechanism for tissue damage (37). To evaluate whether EGR-1 is involved in the generation of ROS, we stably overexpressed human EGR-1 in IHKE-1 cells. Expression of EGR-1 was significantly (5.5-fold) increased in EGR-1-transfected compared with vector-only transfected cells (n = 3, *, p < 0.05 vs control, Students t test) (Fig. 5A). We then studied protein expression of Cu/ZnSOD, MnSOD, and HO-1 in these cells. In addition, we addressed the question of whether overexpression of EGR-1 could modify the generation of ROS by the NADH/NADPH-oxidase system. The results show that overexpression of EGR-1 inhibits total cellular protein expression of Cu/ZnSOD (expression percentage of control: 36 ± 4) and MnSOD (expression percentage of control: 41 ± 3), but does not change expression of HO-1 (expression percentage of control: 81 ± 4.2) (Fig. 5B). In addition, cells overexpressing EGR-1 show an increase in NADH/NADPH-oxidase activity after stimulation with either NADH (Fig. 6A) or NADPH as a substrate (Fig. 6B). Determination of superoxide anion generation was performed using the xanthine/xanthine-oxidase reaction as described recently (32). There was an excellent correlation between chemiluminescence and superoxide anion generation (Fig. 6C). To quantify the total amount of superoxide anions generated during our experimental period (15 min), we integrated the areas under the curves and compared control cells and EGR-1-overexpressing cells incubated either with vehicle, DMTU or SOD. Addition of the ROS scavenger DMTU (10 mM) and SOD (1000 U/ml) to control cells and cells overexpressing EGR-1 significantly reduced the measurable amount of superoxide anions, demonstrating the specificity of this assay for superoxide. Because of one outlier, the data for DMTU in EGR-1-overexpressing cells stimulated with NADH were not significant (Fig. 6D). To evaluate whether the increase in the NADH/NADPH-oxidase activity was caused by a change in enzymatic activity or a change in protein expression, we determined the protein expression of the p22phox, p47phox, p67phox, and gp91phox subunits of the NADH/NADPH-oxidase complex. The p47phox and gp91phox subunits of the NADH/NADPH-oxidase complex could not be found, neither in PCR experiments nor in Western blot experiments (data not shown). The p22phox and p67phox expression did not differ between control cells and EGR-1-overexpressing cells (Fig. 7, A and B). Recently, a new NADH/NADPH-oxidase isoform (Nox4) with high expression in the kidney has been identified. To test the expression of this NADH/NADPH-oxidase in our cell line, Western blot experiments with control cells and EGR-1-overexpressing cells were performed (Fig. 7C). Nox4 expression was significantly increased in cells overexpressing EGR-1. In addition, protein expression of Rac1, a member of the Rho family of small GTPases known to assemble with the cytosolic p47phox and p67phox and the membrane-associated flavocytochrome b558 to form the multicomponent respiratory burst oxidase, was investigated (Fig. 7D). Rac1 protein expression was markedly up-regulated in cells overexpressing EGR-1.
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To demonstrate that the effects of EGR-1 on cellular ROS generation could be replicated by MIG, we stimulated untransfected IHKE-1 cells with either vehicle or MIG (0.5 nmol/L) for 4 h and measured NADH/NADPH-oxidase activity thereafter (Fig. 8A). To quantify the total amount of superoxide anions generated during the experimental period (15 min), we again integrated the areas under the curves and compared control cells and MIG-stimulated cells. These results indicate that stimulation with MIG likewise induces an increase in superoxide anion generation with either NADH or NADPH as substrate (Fig. 8B).
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Several studies have demonstrated the effects of ROS on cellular
ion transport mechanisms (38). In the proximal tubule,
most of the secondary active ion transporter like sodium-glucose and
sodium-amino acid cotransporter and sodium-hydrogen antiporter depend
at least in part on the sodium gradient generated by the basolateral
Na+/K+-ATPase activity
(39). To investigate the role of MIG on the cellular
Na+/K+-ATPase activity of
human proximal tubules, we first measured the activity of this enzyme
in EGR-1-overexpressing and control cells. In EGR-1-overexpressing
cells, basal Na+/K+-ATPase
activity is reduced by
60% (basal activity: 12.7 ± 2.5 nmol
Pi/mg protein/minute) compared with vector-only transfected cells
(basal activity: 29 ± 4.2 nmol Pi/mg protein/minute) (Fig. 9). Time-dependent incubation of
EGR-1-overexpressing cells with either catalase (5000 U/ml), an enzyme
that metabolizes hydroxyperoxide (1 h: activity: 11.5 ± 1.8 nmol
Pi/mg protein/minute; 24 h: activity: 12.2 ± 2 nmol Pi/mg
protein/minute) or PDTC (50 µM), an inhibitor of inducible NO
synthase induction (1 h: activity: 16.9 ± 2 nmol Pi/mg
protein/min; 24 h: activity: 16.4 ± 2.1 nmol Pi/mg
protein/minute), did not change basal
Na+/K+-ATPase activity. In
contrast, incubation of EGR-1-overexpressing cells with either DMTU (10
mM) (1 h: activity: 32.6 ± 3.6 nmol Pi/mg protein/minute) or SOD
(1000 U/ml) (1 h: activity: 25.7 ± 3 nmol Pi/mg protein/minute),
both superoxide anion scavengers, reversed the EGR-1 induced inhibition
of basal Na+/K+-ATPase
activity to control values (Fig. 9). To demonstrate that the effects of
EGR-1 on basal
Na+/K+-ATPase activity
could be replicated by MIG, we stimulated untransfected IHKE-1 cells
with either vehicle (activity: 28.6 ± 2.1 nmol Pi/mg
protein/minute, n = 21) or MIG (0.5 nmol/L) (activity:
17.1 ± 2.6 nmol Pi/mg protein/minute, n = 11) for
4 h. Stimulation with MIG likewise induced an inhibition of the
Na+/K+-ATPase activity in
untransfected IHKE-1 cells (see Fig. 11). To prove that EGR-1 via
generation of superoxide anions is responsible for the effects of MIG
on Na+/K+-ATPase activity,
antisense experiments with EGR-1 antisense oligonucleotides were
performed. First, the specificity of anti-EGR-1 antisense
oligonucleotides on EGR-1 protein expression was tested (Fig. 10). Stimulation of untransfected
IHKE-1 cells with MIG (0.5 nmol/L) for 1 h induced the known
up-regulation of EGR-1 as compared with vehicle-stimulated control
cells. Pretreatment of IHKE-1 cells with control antisense
oligonucleotides slightly reduced total MIG-induced EGR-1 expression.
Pretreatment of IHKE-1 cells with anti-EGR-1 antisense
oligonucleotides significantly reduced MIG-induced EGR-1 expression
(46.6 ± 6.2%) compared with experiments with control antisense
oligonucleotides. To show linkage between the CXCR3 receptor and its
effect on Na+/K+-ATPase
activity via EGR-1, untransfected IHKE-1 cells were preincubated with
control antisense and antisense. Preincubation with control
antisense did not influence MIG-induced inhibition of
Na+/K+-ATPase activity
(activity: 15.1 ± 2.6 nmol Pi/mg protein/minute,
n = 12). In contrast, preincubation with antisense
partially reversed MIG-induced inhibition of
Na+/K+-ATPase activity
(activity: 26.5 ± 3.1 nmol Pi/mg protein/minute,
n = 12) (Fig. 11).
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| Discussion |
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cells with glucose increased EGR-1
mRNA expression via a calcium/calmodulin-dependent pathway
(44). Furthermore, experiments in the murine
erythroleukemia cell line ELM-I-1 show that exposure of these cells to
the Ca2+-ionophore A23187 leads to a rapid
transient rise in EGR-1 and c-fos mRNA expression followed
by an increase in EGR-1 and c-fos protein levels as well as
an increase in EGR-1 and AP-1 DNA-binding activity (45). A
recent study has shown the essential role of c-fos for the
activation of the transcription factor complex AP-1 and the subsequent
stimulation of downstream genes such as tyrosine hydroxylase. The
results of this study show that hypoxia causes
Ca2+ influx through L-type voltage-gated
Ca2+ channels and that hypoxia-induced
c-fos gene expression is
Ca2+/calmodulin-dependent (46). But
conflicting data exist. Experiments performed in mouse cortical
cultures show that although zinc,
N-methyl-D-aspartate, or
ionomycin induced comparable neuronal death, only zinc increased EGR-1
expression, which was attenuated by blocking zinc influx
(47). Therefore, it might be possible that induction of
EGR-1 via Ca2+ depends on cell type-specific
mechanisms. It has been suggested that a
Ca2+-dependent protein kinase C (PKC) isoform
might be involved in the up-regulation of EGR-1. Recent data support
this mechanism. Using homozygous null mice for the PKC
-isoform
gene, Yan et al. (48) could show that PKC-
, a
Ca2+-dependent PKC isoform, is essential for the
hypoxia-induced expression of EGR-1. In addition, rapid
ischemia-mediated activation of EGR-1 has been shown to up-regulate
chemokine receptors, adhesion receptors, and procoagulant- and
permeability-related genes. Deletion of the gene encoding EGR-1
strikingly diminished the expression of these mediators of vascular
injury in a murine model of lung ischemia/reperfusion, and enhanced
animal survival and organ function (49). These data
indicate that EGR-1 activation plays a central role in the pathogenesis
of ischemic tissue damage. The downstream mechanisms involved in cellular injury mediated by EGR-1 are poorly understood. In this study, we show that in cells overexpressing EGR-1, expression of Cu/ZnSOD and MnSOD, two enzymes essential for the detoxification of superoxide anions, is down-regulated. This mechanism most likely depends on the transcriptional regulatory domain of EGR-1. Interestingly, forced overexpression of EGR-1 in NIH3T3 cells leads to increased MnSOD transcription in a dose-dependent manner (50), but an EGR-1-mediated negative role on the basal promoter activity of MnSOD has also been shown (51). In addition, the 3'-untranslated region of the MnSOD RNA has influence on the expression of this enzyme (52, 53). The same is true for the Cu/ZnSOD (54, 55). Experiments with an EGR-1 protein, where a serine/threonine/proline-rich region between aa 174 and 270 was eliminated, show that the activation domain of EGR-1 is critical for the activity of the protein (56). Our data show that EGR-1 in addition to the down-regulation of SODs stimulates NADH/NADPH-oxidase activity both in response to NADH and to NADPH. This effect could, at least in part, be explained by an increase in protein expression of the NADH/NADPH-oxidase Nox4. Interestingly, Rac1 expression was increased in cells overexpressing EGR-1. An increased binding of Rac1 to the p67phox subunit with activation of the cytochrome b558 complex could explain an increase in NADH/NADPH-oxidase activity but despite the presence of the p22phox subunit in our cell line, no mRNA or protein for the gp91phox subunit of the cytochrome b558 complex could be found. Addition of the superoxide anion scavenger antagonized the effect of EGR-1 on NADH/NADPH-oxidase activity indicating that superoxide anions were involved. Additional experiments with untransfected cells showed that stimulation of untransfected IHKE-1 cells with MIG for 4 h can indeed induce NADH/NADPH-oxidase activity via an EGR-1-dependent mechanism. Our data corroborate present data of ischemia-induced tissue damage because ischemia increases superoxide anion (ROS) generation in hypoxic tissues. Experiments with a cytochrome c-coated platinized carbon electrode have for instance shown that hypoxia, focal ischemia, and reperfusion all induce superoxide anion generation in the brain (37). Therefore, our data might explain part of the cellular mechanisms involved in ROS generation induced by ischemia.
What might be the function of increased superoxide anion production in proximal tubule cells? Several earlier studies have shown that ROS can alter ion transport mechanisms (38). Experiments with hypoxic alveolar epithelial cells have shown that ion transport is significantly affected by decreasing or increasing cellular ROS levels (57). Interestingly, our data indicate that EGR-1 via generation of superoxide anions inhibits the basolateral Na+/K+-ATPase activity of proximal tubules. The reduction of basolateral Na+/K+-ATPase activity in EGR-1-overexpressing cells could be normalized by treatment of those cells with either SOD or DMTU, both potent scavengers for superoxide anions, but not by treatment with PDTC, an inhibitor of inducible NO synthase induction, or catalase, an enzyme that detoxifies hydroxyperoxide. These data indicate that the superoxide anion, but not hydroxyperoxide or ROS downstream of hydroxyperoxide, is responsible for the inhibition of Na+/K+-ATPase activity in EGR-1-overexpressing cells. This mechanism could be reproduced by stimulating untransfected IHKE-1 cells with MIG for 4 h at a time point, where a significant difference in NADH/NADPH-oxidase activity between MIG stimulated and unstimulated cells has been found. Basolateral Na+/K+-ATPase activity is essential for secondary active Na+-dependent transport mechanisms present in the luminal membrane (39) and depends on the intracellular availability of ATP, a product of an intact oxygen-dependent cell metabolism (58). The ROS-dependent reduction of basolateral Na+/K+-ATPase activity in states of oxygen deprivation might be a mechanism to reduce the oxygen consumption of cells already in jeopardy. Moreover, mild ischemia-induced acute renal failure is known to be associated with significant impairment of tubular Na+ reabsorption and an increased fractional urinary Na excretion (59). In addition, inflammatory kidney diseases like granulomatous interstitial nephritis (60), membranoproliferative glomerulonephritis, lupus nephritis (61), and biopsy-verified chronic glomerulonephritis (62) all have been shown to be associated with an increased fractional sodium excretion. Therefore, the CXCR3 receptor via EGR-1 stimulation might participate in the pathogenesis of renal injury and natriuresis during inflammatory and ischemic kidney disease.
| Acknowledgments |
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| Footnotes |
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2 Address correspondence and reprint requests to Dr. Hermann Pavenstädt, Department of Medicine, Division of Nephrology and General Medicine, University Hospital Freiburg, Hugstetter Strasse 55, D-79106 Freiburg Germany. E-mail address: paven{at}med1.ukl.uni-freiburg.de ![]()
3 Abbreviations used in this paper: IP-10, IFN-
-inducible protein-10; MIG, monokine induced by IFN-
; SOD, superoxide dismutase; EGR, early growth response gene; Cu/ZnSOD, copper-zinc SOD; MnSOD, manganese SOD; [Ca2+]i, free cytosolic calcium concentration; ROS, reactive oxygen species; HO, hemoxygenase; DMTU, 1,3-dimethyl-2-thiourea; PDTC, pyrrolidinedithiocarbamate; PKC, protein kinase C. ![]()
Received for publication December 17, 2001. Accepted for publication November 12, 2002.
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